NPI 1629936968

Anthony Benavente Ishmael

Practitioner Personal Care Attendant Martinez, GA

Practice location

Address: 3504 Professional Cir STE B, Martinez, GA 30907-8236
Phone: (706) 945-1064
Fax: (706) 305-1728

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence PHCP043829 (GA)

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Registry record

NPI: 1629936968
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2026
Record last updated: 14 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.